It takes me a while for things to sink in, and while I've recounted the details of my appointment yesterday 4 times already, I think it is finally starting to settle in. Maybe it's because I'm finally writing it down; maybe it's because I'm exhausted. I'm not sure. For now, it's gonna be a "just the facts" kind of report, I'm not exactly sure how I feel about it all just yet, though writing it all out is making me realize it's quite a bit. There are a couple tests being run that I'm hoping will come back normal (it's nice to hope for normal for a change) and a couple I'm expecting to come back with issues, though it'd be nice if they didn't. Oh, and consider yourself warned that this is a random order and definitely crosses the TMI line...
Dr. D. was wonderful, a genius as E. said and very kind and respectful of my (our) preferences.
Dr. D. suspects that perhaps I do not have PCOS, but isn't completely sure. There was a hormone that was borderline that she is rechecking. I can't remember which one it is (I'll update when I get the results) - I know it's not DHEA or the FSH/LH ratio (though I think she's checking those again too). I do know that this hormone also affects adrenals and if it is out of whack can present like PCOS and cause similar problems. (Hoping this comes back normal and that it is indeed PCOS- adrenal issues scare me.)
She is also not happy with my luteal phase (I'm not either) and said it's time to switch to HCG. I've got the prescription and will be calling the insurance company tomorrow to find out if it's cheaper to go through them or Ku.bat's in Omaha. I'm going to have to learn to give these shots to myself for 2 reasons 1) The Man hates needles - has panic attacks and 2) my travel schedule. I know it's mind over matter, but I can't say I'm excited.
She is also rechecking my thyroid. (Again, hope this comes back normal - thyroid issues also scare me.)
I will be starting femera next cycle to help with ovulation. (A note about this, I've never POAS and I never intended to unless I was darn sure it would be positive. HAVING to do it and knowing it will be negative is not. at. all. something I am looking forward to.)
I will start P+7 blood work and cycle reviews.
I will take B6 to improve mucus. She saw great fertile CM at the cervix and I had seen it externally for 3 days prior, but had not seen anything externally yet that day (it was mid-afternoon) and this is consistent with my recent cycles of some nice fertile days followed up by weirdness until peak.
Finally, in trying to figure out some of the random bleeding that I get, Dr. D. took cultures from my cervix (why yes, that is just as uncomfortable as it sounds). (This is the one I'm expecting will come back with issues, though it'd be nice if it didn't.) She also said that infection can contribute to blocked tubes and both of my were partially blocked.
No ultrasound series yet. Ania said that Dr. D. prescribed femara for her for a couple of cycles before doing the u/s series so I'm Ok with being patient on this. The u/s series is actually something The Man and I are not 100% sure about, so a few more months to consider and pray about it will be a good thing. (But don't worry TCIE, if I've gotta do it, I may as well get a cool button for my blog while I'm at it ;).)
If no BFP in 3 months, I go back for a follow-up.